| NPI | 1376301994 |
|---|---|
| Former Legal Business Name | LINDGREN FUNCTIONAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | SHANNON KANTER Clinic Manager 920-548-1967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2024-03-08 |